Master Online Reference

To Be Completed By The Reference:

If you have been selected to provide a reference for a master's program applicant, please complete our online reference form below or download a .pdf version and send it to: Taylor Semonary,11525 -- 23 Avenue NW, Edmonton, Alberta, Canada T6J 4T3. All reference forms completed online are subject to verification by the Admissions Office and Registrar.

Name of Applicant*

Please enter the name of the applicant

Name of person giving reference*

Please enter the name of person giving reference

Person giving reference is:*

Professor

Pastor

Employer

Personal Reference

Please indicate

Please indicate the nature of your association or contacts with the applicant, including frequency and duration of contacts, which serve as the basis for your impressions of him or her as a prospective student.*

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Check all that apply:

Responsiveness to others

Reasonably responsive

Understanding and thoughtful

Shows exceptional insight and consideration

Slow to sense how others feel

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Comments:

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Initiative / Perspective

Resourceful and effective

Superior creative ability

Does only what is assigned

Meets average expectations

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Teachability

Rigid, argumentative

Highly opinionated

Open-minded

Eager to receive instruction

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Comments:

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Leadership

Has some leadership promise

Has good leadership ability

Has exceptional ability to lead

Makes no effort to lead

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Comments:

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Teamwork

Usually cooperative

Most effective in teamwork

Frequently causes friction

Prefers to work alone

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Financial Responsibility

Shows mature responsibility

Talks frequently of debt or financial worries

Expects others to meet needs

Careless, extravagant

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Comments:

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Personality Traits (Check those that apply)

Relational

Cautious

Good-natured

Honest

Aloof

Warm

Reserved

Shy

Outgoing

Domineering

Friendly

Antisocial

Optimistic

Pessimistic

Empathetic

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Integrity / Spiritual Maturity - Does the person:

Appraise strengths and weaknesses objectively and accurately?

Yes

No

Not Observed

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Represent himself or herself honestly?

Yes

No

Not Observed

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Pursue goals ethically and conscientiously?

Yes

No

Not Observed

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Demonstrate appropriate spiritual maturity?

Yes

No

Not Observed

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Involve himself or herself in the life of the church?

Yes

No

Not Observed

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Moral Character - To your knowledge has this person:

Ever been charged with or convicted of a crime?

Yes

No

Not Observed

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Ever been engaged in or been the subject of a charge of unethical or immoral conduct or behavior?

Yes

No

Not Observed

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Ever engaged in or been the subject of a charge of sexual misconduct?

Yes

No

Not Observed

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Please Provide all relevant information explaining your answer if you answered "yes" to any part of the Moral Character section

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Does this person have any complicating factors in his or her life that might hinder the applicant's success as a student or as a Christian professional?

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Do you see this person as someone you would like to have as your pastor, church staff member, therapist, or colleague?